Provider Demographics
NPI:1134806904
Name:LARRY, ROSALIND LAURIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:LAURIE
Last Name:LARRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4826 SW 49TH RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6299
Mailing Address - Country:US
Mailing Address - Phone:352-369-3320
Mailing Address - Fax:800-384-7451
Practice Address - Street 1:4826 SW 49TH RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-6299
Practice Address - Country:US
Practice Address - Phone:352-369-3320
Practice Address - Fax:800-384-7451
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW214001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical